Lobbying Firm Activity Authorization CALIFORNIA FORM 602 FAIR POLITICAL PRACTICES COMM. Filing Requirements: A Form 602 (Lobbying Firm Activity Authorization) must be completed and verified by each person who employs or contracts with a lobbying firm. The Form 602 must be attached to the lobbying firm’s Form 601 (Registration Statement) or, when adding a new client or employer to the firm’s existing registration, to Form 605 (Amendment to Registration). The person who employs the lobbying firm must date and sign the verification. In the case of a business entity or organization, the verification must be signed by a responsible officer of the entity or organization or by an attorney or a certified public accountant who acts as an agent for the entity or organization. Lobbying Firms that Subcontract a Client: A lobbying firm that subcontracts to provide lobbying services to clients of another lobbying firm must identify the subcontracting lobbying firm and the client(s) on whose behalf it will lobby. A Form 602 signed by a representative of the subcontracting lobbying firm must be included with the contracted firm’s registration. The subcontracted client is not required to file a Form 602. In addition, it is not necessary to complete the Nature and Interests section for subcontract clients. Additional Information Refer to the Lobbying Disclosure Information Manual for additional information and information required to be provided to you pursuant to the Information Practices Act of 1977. FPPC Form 602 (7/98) For Technical Assistance: 916/322-5660 American LegalNet, Inc. www.FormsWorkflow.com Lobbying Firm Activity Authorization Legislative Session (Government Code Section 86104) CALIFORNIA FORM 602 FAIR POLITICAL PRACTICES COMM. Check one box, if applicable For Official Use Only Lobbyist Employer (Insert Years) (Gov. Code Section 82039.5) Lobbying Coalition (FPPC Regulation 18616.4) of Page Type or Print in Ink EFFECTIVE DATE: NAME OF FILER: TELEPHONE NUMBER: BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) ( ) FAX NUMBER: (Optional) ( ) E-MAIL: (Optional) MAILING ADDRESS: (If different than above.) I hereby authorize (Name of Lobbying Firm) (Business Address) to engage in the activities of a lobbying firm (as defined in California Government Code Section 82038.5 and 2 Cal. Code of Regs. Section 18238.5) on behalf of the above named employer. If you are authorizing another lobbying firm to lobby on behalf of your firm’s client(s), provide the name(s) of the client(s) below. (It is not necessary to complete the Nature and Interests section.) NAME OF SUBCONTRACTED CLIENT: NAME OF SUBCONTRACTED CLIENT: NAME OF SUBCONTRACTED CLIENT: NAME OF SUBCONTRACTED CLIENT: VERIFICATION I have used all reasonable diligence in preparing this Statement. I have reviewed this Statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on By DATE SIGNATURE OF RESPONSIBLE OFFICER Name of Responsible Officer PRINT OR TYPE Title FPPC Form 602 (7/98) For Technical Assistance: 916/322-5660 American LegalNet, Inc. www.FormsWorkflow.com Lobbying Firm Activity Authorization CALIFORNIA FORM Type or Print in Ink SEE INSTRUCTIONS ON REVERSE 602 FAIR POLITICAL PRACTICES COMM. NAME OF FILER: Page of Nature and Interests of Lobbyist Employer Check one box only: INDUSTRY, TRADE OR PROFESSIONAL ASSN. (Complete only Parts C and E) BUSINESS ENTITY (Complete only Parts B and E) INDIVIDUAL (Complete only Parts A and E) A. Individual OTHER (e.g., lobbying coalition) (Complete only Parts D and E) ............................. 2. Description of business activity in which you or your employer are engaged: 1. Name and address of employer (or principal place of business if self-employed): B. Business Entity Description of business activity in which engaged: C. Industry, Trade or Professional Association ............................ 2. Specific description of any portion or faction of the industry, trade, or profession which the association exlusively or primarily represents: 1. Description of industry, trade or profession represented: ........................................................................................................................................................................................... 3. Number of members in association (check appropriate box) 50 OR LESS (provide names of all members on an attachment.) MORE THAN 50 ............................ D. Other 2. Description of any trade, profession, or other group with a common economic interest which is principally represented or from which membership or financial support is principally derived: 1. Statement of nature and purposes: E. Industry Group Classification Check one box which most accurately describes the industry group which you represent. See instructions on reverse. AGRICULTURE LEGAL EDUCATION PUBLIC EMPLOYEES GOVERNMENT POLITICAL ORGANIZATIONS BUSINESS (Check one of the following sub-categories.) ENTERTAINMENT/RECREATION OIL AND GAS FINANCE/INSURANCE PROFESSIONAL/TRADE LODGING/RESTAURANTS REAL ESTATE HEALTH UTILITIES MANUFACTURING/INDUSTRIAL TRANSPORTATION LABOR UNIONS OTHER: MERCHANDISE/RETAIL OTHER: (Describe in detail) (Specific Description) FPPC Form 602 (7/98) For Technical Assistance: 916/322-5660 American LegalNet, Inc. www.FormsWorkflow.com Instructions for Nature and Interests of Lobbyist Employer Nature and Interests of Lobbyist Employer: Check the box that indicates whether you are an individual, a business entity, an industry, trade or professional association, or some other type of entity, such as a lobbying coalition, a religious organization, a political or public interest organization, or a recreational club. Complete Part A, B, C, or D, whichever is applicable, and then complete Part E. Industry Group Classification All filers must complete Section E. Check one box that most accurately describes the industry group you represent. Industry, trade, or professional associations should check the box that most accurately describes the industry group of its members (e.g., an association of hospitals would be classified as “Health,” and an association of mortgage banking entities would be classified as “Business-Finance/Insurance”). Following are some additional examples: CALIFORNIA FORM 602 FAIR POLITICAL PRACTICES COMM. The category “Business” has been divided into several subcategories, including: Entertainment/Recreation: Includes baseball, football teams and country clubs, casinos, horse breeders, race tracks, music companies, and theaters. Does not include hobby or recreational clubs which are not business-related. Finance/Insurance: Includes health insurance companies, collection agencies, credit services, mortgage bankers, title companies, etc. Lodging/Restaurants: resorts, etc. Includes bars, hotels, night clubs, Manufacturing/Industrial: Includes beverage manufacturers, canneries, cement companies, chemical laboratories, timber companies, wineries, etc. • Agriculture: Includes growers, ranches, vineyards, flower growers, fertilizer manufacturers, etc. Merchandise/Retail: Includes beverage distributors, coin dealers, florists, home furnishing stores, pharmacies, etc. • Education: Includes educators, private and public schools, and education unions. Oil and Gas: Includes drilling contractors, exploration companies, gas and oil companies, etc. • Government: Includes cities, counties, and all other publiclyfunded agencies. • Health: Includes physicians, dentists, optometrists, chiropractors, nurses, etc., as well as ambulance companies, convalescent homes, pharmacists, pharmaceutical manufacturers, therapists, hospitals, etc. Professional/Trade: Includes individuals or business entities, or organizations representing accountants, architects, auctioneers, bail agents, building trades, construction interests, court reporters, engineers, photographers, travel agents, stock brokers, plumbers, veterinarians, etc. NOTE: A trade association representing ranchers would be classified as “Agriculture,” not as “Professional/Trade.” • Labor Unions: Does not include public employee and education unions. Real Estate: Includes developers, rental companies, real estate companies, property management, etc. • Legal: Includes attorneys and attorney associations, except those representing public employee attorneys. Transportation: Includes airlines, moving and storage, railroads, shipping, trucking, etc. • Political Organizations: Includes political committees and clubs. • Public Employees: Includes all public employee associations, organizations, and unions (except education unions), including district attorneys, public defenders, firefighters, judges, police, sheriffs, etc. Other: Describe your business interest if it does not fall into any of the other business categories (e.g. apartment owners, funeral homes, mobile home parks, publishers, refuse companies, retirement homes, waste management, etc.). NOTE: This subsection is different from the “Other” category identified in the Industry Group Classification which is for use by filers whose activities are not business-related. • Utilities: Includes telephone, power, and water companies. • Other: Describe. (After reviewing your description, the Secretary of State may place you in one of the classifications described above or assign you to the miscellaneous category in the Directory of Lobbyists, Lobbying Firms and Lobbyist Employers.) FPPC Form 602 (7/98) For Technical Assistance: 916/322-5660 American LegalNet, Inc. www.FormsWorkflow.com